There is growing recognition that different research approaches are necessary to understand the complex interaction between individual and social processes that contribute to risk-taking and injuries. Therefore, qualitative studies have an important role in injury prevention research. This article describes qualitative research in general and outlines some of the ways qualitative research can add to our understanding of injury. It also describes the role, format and methods of interviews (person-to-person and focus groups) commonly performed in qualitative studies, and proposes a novel approach to interviewing that has special relevance and value in injury research with indigenous populations. This methodology adapts focus group methods to be consistent with the goals and procedures of the traditional First Nations communities' Sharing Circles. This adaptation provides a culturally appropriate and sensitive method of developing a deep and broad understanding of indigenous participants' verbal descriptions of their feelings, their experiences and their modes of reasoning. After detailing of this adaptation of the Sharing Circle as a vibrant and vital interview and analysis method, the use of Sharing Circle interview methodology will be illustrated in a study investigating how an Alberta First Nations community experiences and deals with disproportionate levels of injuries arising from impaired driving, outlining important findings uncovered using this novel interviewing method. These findings have been informative to First Nations communities themselves, have informed policy makers provincially and nationally, and have instigated culturally appropriate intervention techniques for Canadian First Nations communities.

Like other areas of health research, there has been increasing use of qualitative methods to study public health problems such as injuries and injury prevention. Likewise, the integration of qualitative and quantitative research (mixed-methods) is beginning to assume a more prominent role in public health studies. Likewise, using mixed-methods has great potential for gaining a broad and comprehensive understanding of injuries and their prevention. However, qualitative and quantitative research methods are based on two inherently different paradigms, and their integration requires a conceptual framework that permits the unity of these two methods. We present a theory-driven framework for viewing qualitative and quantitative research, which enables us to integrate them in a conceptually sound and useful manner. This framework has its foundation within the philosophical concept of complementarity, as espoused in the physical and social sciences, and draws on Bergson’s metaphysical work on the ‘ways of knowing’. Through understanding how data are constructed and reconstructed, and the different levels of meaning that can be ascribed to qualitative and quantitative findings, we can use a mixed-methods approach to gain a conceptually sound, holistic knowledge about injury phenomena that will enhance our development of relevant and successful interventions.

Historical institutions like federal government residential schools have contributed to systemic socio cultural problems which influence alcohol abuse and impaired driving. Hence there is a need for community-based intervention strategies that promote cultural healing. The healing journey can start with First Nations communities providing their people opportunities to share their stresses and traumas in supporting and nurturing environments.

Objectives. Seat-belt wearing rates in the North reflect workers in the oil industry, necessitating sociocultural descriptions on the issue. The objective of this study was to describe how the social context influences oil workers' views of risk and seat-belt wearing behaviour in northern Alberta. Study Design. The study design was qualitative research. Focus groups were held with oil workers in three northern Alberta locations. Methods. Forty-five oil industry workers participated in 3 focus groups held in a different northern Alberta location, each consisting of 15 participants. Focus group discourse was centred on a series of questions that were clustered around the following themes: (1) propensity to take risks; (2) work patterns and workplace routines; (3) driving history and patterns; (4) self-disclosed seat-belt wearing behaviour; and (5) social relationships. Results. Northern oil workers believe that taking safety risks is an essential characteristic of who they are and where they work. Employers demand consecutive number of hours on the job and offer attractive incentives for working overtime that encourages risk-taking. Risk-taking also appears in driving where workers take numerous risks to get home after they have worked 12-hour shifts for 14 consecutive days. Most are situational seat-belt wearers, buckling up in inclement weather, at the presence of numerous logging trucks and the threat of drunk and/or fatigued drivers. Without prompting, northern oil workers consider fatigued driving as the most dangerous driving risk they experience in the north. Nearly every respondent has experienced fatigued driving after completing his last work shift in a 14-day rotation. Conclusions. Seat-belt wearing initiatives for oil workers during off-work driving should be led by the oil industries. For example, they could support and encourage the police to increase their enforcement, lobby the government for higher penalties, punish their workers Safety behaviour and driving who are caught not wearing seat belts and collaborate with local communities to develop programs that will increase awareness of seat-belt wearing. Because workers described fatigued driving as the key risk in the North, oil industries should become engaged in interventions, with seat-belt wearing as a vital component of fatigued driving. (Int J Circumpolar Health 2008; 67(2-3):226-234)

Living in First Nations communities is socially complex, highly emotionally charged, and peer-pressured. Drinking and driving and alcohol abuse amongst First Nations people reflect the community social structure, daily pressures and norms of behavior. Hence, to reduce drinking and driving casualties amongst First Nations young people, intervention strategies must address systemic issues, namely local people's social realities, norms, as well as local and peer relationships.